An interventional study of spatially fractionated radiation therapy in Patients With Symptomatic or Bulky Tumors (More Than 8 cm) or With Tumors Resistant to Radiation, sponsored by Sir Mortimer B. Davis - Jewish General Hospital. Recruiting at 1 site in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-12.
Sponsored by Sir Mortimer B. Davis - Jewish General Hospital · Not applicable, Interventional, and Supportive care
Palliative radiation therapy represents 40% of the on-going radiation at the Jewish General Hospital. In a traditional palliative radiation treatment to bulky or radioresistant tumors, radiotherapy schema varies from 24 to 30 Gys given in 3 to 10 fractions, depending on the tumor size, tumor location and tumor pathology. However, for many patients this treatment involves considerable toxicity, travel and time spent at the hospital. Spatially fractionated radiation (SFR) is an alternative technique that consists in delivering one single treatment, given through a grid containing holes. The present study is proposing to validate SFR as a safe and effective mean to palliate patients with symptomatic bulky tumors (more than 8 cm) or with tumors known to be resistant to radiation.
Exclusion Criteria:
A single dose of 15-20Gys of spatially fractionated radiation therapy
Radiation: spatially fractionated radiation therapy
A single dose of 15-20Gys of spatially fractionated radiation therapy
Also known as: GRID radiation therapy
Symptom relief, as measured using the CTCAE grading system (v4.0) and pain questionnaire
Time frame: 3 months post treatment
Acute toxicity of treatment, as measured using the CTCAE grading system (v4.0)
Time frame: 1 week
Long-term toxicity of treatment, as measured using the CTCAE grading system (v4.0)
Time frame: 3, 6, 9, 12 months
Cost-effectiveness, as measured by evaluating the cost of the procedure per patient and the efficacy of treatment with regards to symptom relief and tumor response
Time frame: 3 months
Tumor response, measured on CT-scan
Time frame: 8 weeks
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Sir Mortimer B. Davis - Jewish General Hospital